Hygiene: Difference between revisions
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{{ | The word '''hygiene''' comes from Greek, and it means "the protection and promotion of health." It has been mis-understood to mean ''cleanliness''. Keeping the body clean is only part of what it takes to be healthful. In some cases, excessive washing can actually cause health problems.<ref name="birley1993">{{REFjournal | ||
|last=Birley | |||
|init=HDL | |||
|author-link= | |||
|last2=Walker | |||
|init2=MM | |||
|author2-link= | |||
|last3=Luzzi | |||
|init3=GA | |||
|author3-link= | |||
|last4=Bell | |||
|init4=R | |||
|author4-link= | |||
|etal=yes | |||
|title=Clinical Features and management of recurrent balanitis; association with atopy and genital washing] | |||
|trans-title= | |||
|language= | |||
|journal=Genitourin Med | |||
|location= | |||
|date=1993-10 | |||
|volume=69 | |||
|issue=5 | |||
|pages=400-3 | |||
|url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1195128/pdf/genitmed00029-0074.pdf | |||
|quote= | |||
|format=PDF | |||
|pubmedID=8244363 | |||
|pubmedCID=1195128 | |||
|DOI=10.1136/sti.69.5.400 | |||
|accessdate=2023-12-19 | |||
}}</ref> | |||
==Victorian usage== | |||
Victorian doctors falsely believed that thinking immoral or impure thoughts could cause neurological disorders such as feeblemindedness or epilepsy. They also believed that [[masturbation]] would cause one to think immoral or impure thoughts that would cause brain damage! Therefore, the [[foreskin]] and masturbation were viewed as unhygenic. So when a Victorian doctor spoke of [[circumcision]] being hygienic, he meant mental health, ''not'' physical cleanliness. | |||
== Ignorance and misinformation == | == Ignorance and misinformation == | ||
Misinformation abounds regarding the hygiene of the intact penis. In the United States, especially, doctors tend to be ignorant, misinformed, or simply uninformed concerning the | Misinformation abounds regarding the hygiene of the [[intact]] [[penis]]. In the [[United States]], especially, doctors tend to be ignorant, misinformed, or simply uninformed concerning the hygienic care of [[intact]] men and boys, and this happens for a variety of reasons. As of now, America is primarily a country where circumcision is [[United_States_of_America#Prevalence_of_circumcision| prevalent]], and thus [[intact]] male genitals are unfamiliar to many Americans. Many American medical doctors, are ignorant of the subject because they are themselves [[circumcised]], wives to circumcised men, and/or mothers to circumcised children. Additionally, care of the intact male genitals is rarely mentioned in medical school. The [[foreskin]] and the proper care for [[intact]] genitals tends to be absent in pediatric literature.<ref name="osborn1981">{{REFjournal | ||
|last=Osborn | |||
|init=LM | |||
|author-link= | |||
|last2=Metcalf | |||
|init2=TJ | |||
|author2-link= | |||
|last3=Mariani | |||
|init3=EM | |||
|author3-link= | |||
|etal=no | |||
|title=Hygienic care in uncircumcised infants | |||
|trans-title= | |||
|language= | |||
|journal=Pediatrics | |||
|location= | |||
|date=1981-03 | |||
|volume=67 | |||
|issue= | |||
|pages=365-7 | |||
|url=http://www.cirp.org/library/hygiene/osborn1/ | |||
|archived= | |||
|quote= | |||
|pubmedID=7243473 | |||
|pubmedCID= | |||
|DOI= | |||
|accessdate=2020-06-07 | |||
}}</ref> | |||
This | This article provides factual information to help medical personnel and parents understand the proper care of the penis in its unaltered state. | ||
== The AAP concerning circumcision and hygiene == | == The AAP concerning circumcision and hygiene == | ||
One of the most common | One of the most common justifications cited for non-therapeutic [[circumcision]] of a boy is that it is supposed to facilitate hygiene. However, according the "Circumcision Policy Statement" produced by the "Task Force on Circumcision" appointed by the [[American Academy of Pediatrics]], which was published in ''Pediatrics'' in 1999 and reaffirmed on September 1, 2005, "there is little evidence to affirm the association between [[circumcision]] status and optimal penile hygiene".<ref name="aap1999">{{REFjournal | ||
|last=Task Force on Circumcision | |||
|first= | |||
|author-link= | |||
|etal=no | |||
|title=Circumcision Policy Statement | |||
|trans-title= | |||
|language= | |||
|journal=Pediatrics | |||
|location= | |||
|date=1999-03 | |||
|volume=103 | |||
|issue=3 | |||
|pages=686-93 | |||
|url=http://www.cirp.org/library/statements/aap1999 | |||
|archived= | |||
|quote= | |||
|pubmedID=10049981 | |||
|pubmedCID= | |||
|DOI= | |||
|accessdate= | |||
}}</ref> | |||
==Care of newborn, infants, toddlers, and boys== | ==Care of newborn, infants, toddlers, and boys== | ||
Boys are born with a non-retractable [[foreskin]].<ref>{{REFjournal | Boys are born with a non-retractable [[foreskin]].<ref>{{REFjournal | ||
|last=Simpson | |last=Simpson | ||
|first=Errol T | |first=Errol T. | ||
|init=ET | |||
|author-link= | |author-link= | ||
|last2=Barraclough | |last2=Barraclough | ||
|first2=Phillip | |first2=Phillip | ||
|init2=P | |||
|author2-link= | |author2-link= | ||
|etal=no | |etal=no | ||
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|DOI= | |DOI= | ||
|accessdate=2020-05-28 | |accessdate=2020-05-28 | ||
}}</ref> Retraction cannot be done because the tip of the foreskin is too narrow to pass over the [[glans penis]] and/or the inner foreskin is fused with the glans penis by a [[synechia]]. No attempt should be made to retract a boy's foreskin. Attempts to retract a non-retractile foreskin will injure the boy. Caregivers should wash the outside of the penis as one might wash a finger.<ref>{{REFweb | }}</ref> Retraction cannot be done because the tip of the foreskin is too narrow to pass over the [[glans penis]] and/or the inner foreskin is fused with the glans penis by a [[synechia]]. No attempt should be made to retract a boy's [[foreskin]]. Attempts to retract a non-retractile foreskin will injure the boy. Caregivers should wash the outside of the [[penis]] as one might wash a finger.<ref>{{REFweb | ||
|url=https://www.doctorsopposingcircumcision.org/for-parents/care-of-the-intact-penis/ | |url=https://www.doctorsopposingcircumcision.org/for-parents/care-of-the-intact-penis/ | ||
|archived= | |archived= | ||
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|first=John V. | |first=John V. | ||
|author-link=John V. Geisheker | |author-link=John V. Geisheker | ||
|publisher=Doctors Opposing Circumcision | |publisher=[[Doctors Opposing Circumcision (D.O.C.)]] | ||
|website= | |website= | ||
|date=2016-03 | |date=2016-03 | ||
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|format= | |format= | ||
|quote= | |quote= | ||
}}</ref> The foreskin is self-cleaning, so no further cleaning is necessary. The first person to retract a boy's foreskin should be the boy himself.<ref>{{REFjournal | }}</ref> The [[foreskin]] is self-cleaning, so no further cleaning is necessary. The first person to retract a boy's foreskin should be the boy himself.<ref>{{REFjournal | ||
|last=Wright | |last=Wright | ||
| | |init=JE | ||
|author-link= | |author-link= | ||
|etal=no | |etal=no | ||
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|accessdate=2020-05-28 | |accessdate=2020-05-28 | ||
}}</ref> | }}</ref> | ||
The information provided by supposed authorities regarding when the [[foreskin]] of a boy becomes retractable is usually wrong. The foreskin may be become retractable after a few years, but it usually does not. Thorvaldsen & Meyhoff (2005) conducted a survey of young men in [[Denmark]] where boys are preserved [[intact]]. They found that the average age of first foreskin retraction is 10.4 years.<ref name="thorvaldsen2005">{{REFjournal | |||
|last=Thorvaldsen | |||
|init=MA | |||
|author-link= | |||
|last2=Meyhoff | |||
|init2=H | |||
|author2-link= | |||
|etal=no | |||
|title=Pathologic or physiologic phimosis? | |||
|trans-title=Patologisk eller fysiologisk fimose? | |||
|language=Danish | |||
|journal=Ugeskr Læger | |||
|location= | |||
|date=2005-04-25 | |||
|volume=167 | |||
|issue=17 | |||
|pages= 1858-62 | |||
|url=http://www.cirp.org/library/normal/thorvaldsen1/ | |||
|archived= | |||
|quote= | |||
|pubmedID=15929334 | |||
|pubmedCID= | |||
|DOI= | |||
|accessdate=2020-05-28 | |||
}}</ref> This means that many boys' foreskins become retractable even later. | |||
==Penile care for adolescents and teens== | ==Penile care for adolescents and teens== | ||
By the onset of [[puberty]], most, but not all boys, have a retractable [[foreskin]]. Boys with a retractable foreskin should retract and wash their foreskin when they bathe. Excessive washing and use of soap, shampoo, and body wash on the [[mucosa]] inside the foreskin should be avoided because it dries the oils from the [[mucosa]]l tissue.<ref name="birley1993" /> Warm water is sufficient for cleaning, which should not be done to excess. Overwashing is more likely to cause health issues than underwashing.<ref name="birley1993" /> | |||
==Video== | |||
===Foreskin care=== | |||
<vimeo>856050519</vimeo> | |||
{{SEEALSO}} | {{SEEALSO}} | ||
* [[Foreskinned]] | |||
* [[Immunological and protective function of the foreskin]] | |||
* [[Intact]] | |||
* [[Penis]] | |||
* [[Preputial sac]] | |||
* [[Retraction of the foreskin]] | * [[Retraction of the foreskin]] | ||
* [[Uncircumcised]] | |||
{{LINKS}} | {{LINKS}} | ||
* {{REFweb | * {{REFweb | ||
|url=http://www.cirp.org/library/hygiene/ | |url=http://www.cirp.org/library/hygiene/ | ||
| Line 100: | Line 217: | ||
|quote= | |quote= | ||
}} | }} | ||
* {{REFweb | |||
|url=http://www.savingsons.org/2015/09/adult-intact-penis-care.html | |||
|title=Adult Intact Penis Care | |||
|last=Kelling | |||
|first=Adam | |||
|init= | |||
|author-link= | |||
|publisher=Saving Our Sons | |||
|date=2015 | |||
|accessdate=2025-07-26 | |||
}} | |||
* {{REFweb | |||
|url=https://www.reddit.com/r/Phimosis/comments/1nxenm7/truth_time_how_often_do_you_wash_under_your/ | |||
|title=truth time! how often do you wash under your foreskin? | |||
|last=Anonymous | |||
|first= | |||
|init= | |||
|author-link= | |||
|publisher=REDDIT | |||
|date=2025-10-03 | |||
|accessdate=2025-10-13 | |||
}} | |||
{{REF}} | |||
[[Category:Education]] | |||
[[Category:Foreskinned life]] | |||
[[Category:Parental information]] | |||
[[Category:From Intactipedia]] | [[Category:From Intactipedia]] | ||
[[Category:From IntactWiki]] | [[Category:From IntactWiki]] | ||
[[de:Hygiene]] | |||